Anthem leaving Ohio ACA marketplace

Anthem has announced its exiting the Affordable Care Act exchange in all but one Ohio county, citing the uncertainty over whether the Trump administration will continue to pay cost-sharing reduction subsidies to insurers.

According to the Cleveland Plain-Dealer, Anthem is leaving the door open for a quick return by offering ACA-compliant individual policies in one small area, Pike County. Due to other planned shifts, however, the move could leave up to 18 counties in the state at risk of lacking an ACA insurer next year.

In the statement announcing the withdrawal, Anthem said a stable insurance market "is dependent on products that create value for consumers through the broad spreading of risk and a known set of conditions upon which rates can be developed. Today, planning and pricing for ACA-compliant health plans has become increasingly difficult due to the shrinking individual market as well as continual changes in federal operations, rules and guidance."

Both Democrats and Republicans representing the state pounced on announcement as proof the other side is preventing needed changes to the ACA markets.

Read the full article at the link below:

""
John Gregory, Senior Writer

John joined TriMed in 2016, focusing on healthcare policy and regulation. After graduating from Columbia College Chicago, he worked at FM News Chicago and Rivet News Radio, and worked on the state government and politics beat for the Illinois Radio Network. Outside of work, you may find him adding to his never-ending graphic novel collection.

Around the web

Compensation for heart specialists continues to climb. What does this say about cardiology as a whole? Could private equity's rising influence bring about change? We spoke to MedAxiom CEO Jerry Blackwell, MD, MBA, a veteran cardiologist himself, to learn more.

The American College of Cardiology has shared its perspective on new CMS payment policies, highlighting revenue concerns while providing key details for cardiologists and other cardiology professionals. 

As debate simmers over how best to regulate AI, experts continue to offer guidance on where to start, how to proceed and what to emphasize. A new resource models its recommendations on what its authors call the “SETO Loop.”